TABLE 4

Sample Implementation Strategies Identified by the VOP 2020 Task Force

DomainImplementation Strategy
AdvocacyIdentify potential coalition partners and strategically message why child health is important to them.
Successfully build powerful coalitions that can advocate for attention to socioeconomic, environmental, and political factors that promote the health of children.
Successfully advocate for sustainable models for appropriate payment for all components of the medical home while recognizing that simply having insurance in the absence of adequate payment models is a significant barrier to universal access.
Develop and implement a strategy to be part of an international effort to eliminate poverty, the primary determinant of adverse child outcomes.
Encourage commitment of resources (eg, time, monies, intellectual think tanks) to working with communities to develop solutions to the socioeconomic, environmental, and political factors that affect child health.
OperationsDevelop and implement a strategy for integrating a culture of successfully leading change into the fabric of all pediatric activities.
Encourage ongoing and permanent strategic conversations about the future of pediatrics at all levels of pediatric care.
Integrate improvement science into all pediatric operational activities.
Develop a strategy for including all professional members of the pediatric team as affiliate members of professional societies.
Develop and implement a strategy for promoting the profession of pediatrics, including surgical and medical subspecialties, and trainees at all levels.
PracticeExplore creative models of care that are culturally sensitive and relevant and community based.
Establish distributed medical homes in which primary and specialty practices are centers for community/family/patient communication, education, and connectivity.
Develop a model for spreading implementation of the medical home that includes strategies for communication and sharing management of children with complex conditions with specialists, and support practices in integrating that model.
Identify and disseminate best practices that support the growing commitment to work-life-family balance among pediatric clinicians while ensuring high-quality, continuous care.
Promote greater youth engagement in health care, including prevention.
Fully develop a pediatric network for international health service to respond to the many needs of a partnership relationship that attends to the health care needs of the children of the recipient country, the educational needs of the pediatric clinicians in the host country and visitor country, and the need to build research capacity to effectively improve child health outcomes.
Distill new information into usable, understandable materials that clinicians and families can readily apply.
ResearchMandate federal funding for creative reimbursement mechanisms for community-based care experiments.
Conduct a longitudinal study of young pediatricians to afford the opportunity to identify emerging trends in the field that will guide the field's response to those trends.
Prioritize research that incorporates an understanding of patient, family, community, and cultural preferences, including nontraditional care.
Encourage the inclusion of pediatricians in industry to catalyze the dissemination of pediatric advances into care.
Explore the feasibility of co-hosting the International Pediatric Congress with the American Academy of Pediatrics and the Pediatric Academic Societies every 6–9 y to facilitate global collaboration and sharing of pediatric advances.
Require dissemination plans as part of all grant applications; include dissemination options outside of journal articles.
Promote research with community groups and practitioners from which input on key questions in the field are obtained, interventions are co-developed and tested, and implementation is specifically addressed.
Use novel research approaches in the development of policy guidelines and creative methodologies to encourage their dissemination and implementation.
Encourage research that identifies local solutions and tests their effectiveness as well as research that disseminates evidence-based practices.
EducationDevelop, disseminate, and continually update a curriculum on best practices for promoting entrepreneurship among pediatric professionals.
Develop, disseminate, and continually update a curriculum on best practices in team-based pediatric delivery systems.
Develop, disseminate, and continually update a curriculum on best practices on how pediatricians can become effective members in their community for advancing child health.
Develop, disseminate, and continually update a curriculum on best practices for chronic condition management in primary care and specialty practices.
Develop, disseminate, and continually update a curriculum on best practices for preventive health, emphasizing that adult chronic conditions have their origins in childhood.
Integrate improvement science into all pediatric educational activities.
Develop and implement a business plan for spreading a disaster education curriculum worldwide, including in the United States.
Consumer involvementInstitutionalize a family advisory council in major pediatric organizations to offer advice on key initiatives.
Develop a “family partners only” site within www.healthychildren.org that includes access to unique information such as special newsletters, daily child health news, blogs with pediatric experts, discounts on publications, and the opportunity to be a part of the pediatric advocacy network.
Institutionalize a youth transitions council in major pediatric and adult medicine organizations to offer advice on transitioning youth, particularly those with special health care needs, from 1 system to another.
Communications and information managementFully support the integration of pediatric informatics needs into health information systems, including key domains for children and families and health and consumer IT.
Make the needs of children and families a “household name” through implementation of a comprehensive communication plan that includes the use of all available and emerging communication tools.
Continue to stay at the forefront of using new advances in social media to ensure connectedness between pediatric professionals and consumers.
Identify and implement strategies for fostering and facilitating real-time, ongoing, global connections among pediatric professionals to advance child health.